不同评分在门、急诊下消化道出血患者的诊疗价值

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中图分类号：R57 文献标识码：A文章编号：1006-1959（2025）09-0087-05

DOl：10.3969/j.issn.1006-1959.2025.09.016

Abstract：ObjetiveTostudythcliicalapplationvalueofOklandcoreandSenguptascoreintprogosisvaatioofpatientswithacute lowergatrotestialmoagMetodsAtotalof44patitsiefoplantofmatoaoremitedtutpaitd emergencydeparmentsfourspitalfroJauary21tJune3wereseleted，hile4atitsowreospitalizedaodingtoe doctorsadvieereicuedintpatitgoudpatientsoebseedatoeccodingtoedctoviceeden thehomegroup.Thicaldtaofteatisreecodddladodgptaoofeatitselulaedtate theaplicationfectoftetososRsultseOaklandoeandSenguptascoofteospiadoupereigertntosoftheoe group，and the difference were statistically significant（ P<0 . 0 1 .TheAUCarea（ 9 5 % confidence interval） of the Oakland score for predicting severe bleeding，rebleeding，and 30-day death were 0.952，0.811，and O.853，respectively（ P<0 . 0 5 ），and thebestcut-off values forprediction were19.5 scores， 15.5 scoresand 19.5 scores，respectively. The AUC area（ 9 5 % confidence interval） of the Sengupta score for predicting whether severe bleeding， rebleding，and-daathere086，79nd87espciely05）ndesttffvuer.5ors7.5sd 6.5cores，espectivelyConusionakladsoeandenguptaoeaveertainvalueinpredictingeverebldingebledingad3day deathicuteoroetilmoe.Tudeipredtiediuterotetie isbeterthantatofSnguptasore，buttevalueoftetwoscoresinpredictingrebledingand3O-daydeathinacutelowergastontestinal hemorrhage is comparable.

eywords：Lower gastrointestinal hemorrhage;Prognostic evaluation;Oakland score;Sengupta scor

下消化道出血（lower gastrointestinal hemorrhage）的传统定义是屈氏韧带以远的肠道出血，新的共识意见则专指结直肠出血[1-3]，年发病率为 0 . 0 3 % ，占所有主要胃肠道出血发生率 ，并且近年来在逐渐升高。（剩余7686字）